Effects of different back health education on fear avoidance belief and occupational performance in chronic low back pain

Abstract

Keywords

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Kronik bel ağrısında farklı bel sağlığı eğitimlerinin korku kaçınma inanışları ve aktivite performansına etkileri

Öz

Amaç: Çalışmamızın amacı kronik bel ağrılı hastalarda üç farklı bel sağlığı eğitimi yönteminin korku kaçınma inanışları ve aktivite performansı üzerine olan etkilerini karşılaştırmaktı. Yöntem: Çalışmaya 60 kronik bel ağrılı hasta dahil edildi. Hastalar basit rastgele yöntemle 3 gruba ayrıldı. 1. gruptaki hastalara 2 seanslık bel sağlığı eğitimi (eğitim grubu), 2. gruptaki hastalara ayrıntılı bir bel ağrısı eğitim kitapçığı (kitapçık grubu) ve 3. gruptaki hastalara ise sözel olarak fizyoterapi rehabilitasyon seansları sonrasında tavsiye verildi (tavsiye grubu). Hastaların korku kaçınma tutumlarını değerlendirmek için Korku Kaçınma İnanışları Anketi kullanıldı. Hastaların aktivite limitasyonları Oswestry Bel Ağrısı Anketi ile, aktivite performansları ve tatminleri Kanada Aktivite Performans Değerlendirmesi ile değerlendirildi. Sonuçlar: Tedavi öncesinde ve sonrasında korku kaçınma inanışları ve aktivite performansları açısından her üç grup arasında fark tespit edildi (p

Anahtar Kelimeler

• Bel ağrısı, Korku kaçınma inanışları anketi, aktivite performansı

Kaynakça

1. Van Tulder MW, Koes BW, Bouter LM. Conservative treatment of acute and chronic nonspecific low back pain. A systematic review of randomized controlled trials of the most common interventions. Spine (Phila Pa 1976). 1997;22:2128- 2156.
2. Main CJ, Watson PJ. Psychological Aspects of pain. Man Ther. 1999;4:203-215.
3. Turk DC, Okufuji A. Psychological factors in chronic pain: Evolution and revolution. J Consult Clin Psycol. 2002;70:678-690.
4. Waddell G, Newton M, Henderson I, et al. A fear- Avoidance Belief Questionnaire (FABQ), the role of fear avoidance belief in chronic low back pain and disability. Pain. 1993;52:157-68.
5. Keefe FJ, Rumble ME, Scipio CD, et al. Psychological aspects of persistent pain: Current state of the science. J Pain. 2004;5:195-211.
6. Andrew Walsh D, Kelly SJ, Johnson PS, et al. Performance problems of patients with chronic low back pain and measurement of patient centered outcome. Spine (Phila Pa 1976). 2004;29:87-93.
7. Henrotin H.Y, Cedraschi C, Duplan B, et al. Information and low back pain management: a systematic review. Spine(Phila Pa 1976). 2006;31:326- 334,
8. Uderman BE, Spratt KF, Donelson RG, et al. Can an educational book change behavior and reduce pain in chronic low back pain?. Spine J. 2004;4:425-435.

9. Hermans MW, van Tulder MW, Esmail R, et al. Back Schools for non-specific low back pain. Cochrane Database Syst Rev. 2004;18: CD000261.
10. Brox JI, Storheim K, Grotle M, et al. Systematic review of back schools, brief education, and fear- avoidance training for chronic low back pain. Spine J. 2008;8:948-958.
11. Suyabatmaz Ö, Özgönenel L, Burnaz Ö, et al. Kronik bel ağrılı hastalarda bel okulunun etkinliğinin araştırılması. İstanbul Med J. 2011;12:5-10
12. Dixon JS, Bird HA. Reproducibility along a 10 cm vertical visual analogue. Ann Rheum Dis. 1981;40:87–89.
13. Korkmaz N, Akıncı A, Yörükan S, et al. Validation and reliability of the Turkish version of the fear avoidance beliefs questionnaire in patients with low back pain. Eur J Phys Rehabil Med. 2009;45:527-535.
14. Yakut E, Düger T, Öksüz C, et al. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine. 2004;29:581-585
15. Eyssen IC, Beelen A, Dedding C, et al. The reproducibility of the Canadian Occupational Performance Measure. Clin Rehabil. 2005;19:888- 894.
16. Engers A, Jellema P, Wensing M, et al. Individual patient education for low back pain. Cochrane Database Syst Rev 2009;23:CD004057.
17. Marty M, Henrotin Y. Information for patients with low back pain: from research to clinical practice. Joint Bone Spine 2009;76:621-622.
18. Sahin N, Albayrak I, Durmus B, et al. Effectiveness of back school for treatment of pain and functional disability in patients with chronic low back pain: a randomized controlled trial. J Rehabil Med 2011; 43: 224-229.
19. Cherkin D, Deyo R, Street J, et al. Pitfalls of patient education: limited success of a program for back pain in primary care. Spine (Phila Pa 1976). 1996;21:345- 355.
20. Burton AK, Waddell G, Tillotson KM, et al. Information and advice to patients with back pain can have a positive effect. Spine(Phila Pa 1976). 1999;24:2484–2491
21. Little P, Roberts L, Blowers H, et al. Should we give detailed advice and information booklets to patients with back pain? A randomized controlled factorial trial of a self-management booklet and doctor advice to take exercise for back pain. Spine (Phila Pa 1976). 2001;26:2065–2072
22. Coudeyre E, Givron P, Vanbiervliet W et.al. The role of an information booklet or oral information about back pain in reducing disability and fear-avoidance beliefs among patients with subacute and chronic low back pain. A randomized controlled trial in a rehabilitation unit. Ann Readapt Med Phys. 2006;49:600-608.
23. Waddell G, Main CJ. Beliefs about back pain. In: Waddell G (ed) The back pain revolution.1998c. Churchill Livingstone, Edinburgh, p187-202.
24. Chaory K, Fayad F, Rannau F, et al. Validation of the French version of the fear avoidance belief questionnaire. Spine (Phila Pa 1976). 2004;29:908- 913.
25. Nagarajan M, Nair MR. Importance of fear- avoidance behavior in chronic non-specific low back pain. J Back Musculoskelet Rehabil. 2010;23:87-95.
26. Al-Obaidi SM, Beattie P, Al-Zoabi B. The relationship of anticipated pain and fear avoidance beliefs to outcome in patients with chronic low back pain who are not receiving workers compensation. Spine (Phila Pa 1976). 2005;30:1051-1057.
27. Storheim K, Brox JI, Holm I, et al. Predictors of return to work in patients sick listed for sub acute low back pain: a 12-month follow-up study. J Rehabil Med. 2005;37:365-371.
28. Woby SR, Watson PJ, Roach NK, et al. Are changes in fear-avoidance beliefs, catastrophizing, and appraisals of control, predictive of changes in chronic low back pain and disability? Eur J Pain. 2004;8:201-210.
29. Godges JJ, Anger MA, Zimmerman G, et al. Effects of education on return to work status people with fear avoidance beliefs and acute low back pain. Phys Ther. 2008;88:2231-239.
30. Dalley J. Evaluation of clinical practice. Is a client- centred approach compatible with professional issues? Physiotherapy. 1999;85:491-497.